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General NPI Number Information
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NPI Number | 1831492586
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PRIMARY CARE AND ASSOCIATES LLC
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Dates
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Enumeration Date | 12/17/2010
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 15245 SHADY GROVE RD STE 150
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City | ROCKVILLE
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State | MD
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Zip | 20850-7210
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Country | US
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Telephone | 301-869-9776
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Fax | 301-216-2592
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Provider Business Mailing Address
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Address Line | 15245 SHADY GROVE RD STE 340
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City | ROCKVILLE
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State | MD
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Zip | 20850-7201
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Country | US
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Telephone | 301-869-9776
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Fax | 301-417-4947
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Authorized Official
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Title or Position | PARTNER
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Name | DR. KONSTANTIN KHLUDENEV
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Credential | M.D.
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Telephone | 301-869-9776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D021152
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0046438
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R129771
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0059013
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License Number State | MD
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